Hernia abdominal paraduodenal izquierda estrangulada

Background: Internal abdominal hernias, defined as the passage of internal organs through a peritoneal or mesenteric opening, leading to its entrapment within a compartment inside the abdominal cavity, are uncommon entities, accounting for 1% of all hernias. Among internal abdominal hernias, paraduodenal hernias represent approximately 50% of the total, being the most common. They result from anomalies in the rotation of the intestine during intrauterine gestation and are associated with cases of intestinal obstruction. First described by Neubauer in 1786, there are few cases documented in the international literature. Despite the low incidence of such cases, their significance lies in the diagnostic challenge they pose. Clinical presentations are nonspecific, ranging from episodes of abdominal discomfort accompanied by nausea and vomiting to complete intestinal obstruction, potentially leading to complications such as peritonitis due to ischemic injury or perforation. Objective: To report our center's experience in the treatment of a 63-year-old female patient with a case of intestinal obstruction secondary to a strangulated paraduodenal hernia. Materials and Methods: The clinical case of a patient presenting with obstructive symptoms is described, necessitating reduction, resection and anastomosis of the involved intestinal segment via laparotomy.